Tracy, Charles Alan

Tracy, Charles Alan is an individual health care provider with primary practice located at 40 Medical Park Suite 200, Wheeling WV 26003-6392. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Tracy, Charles Alan can be contacted via phone (304) 242-0590.

Contact Information

Primary practice address
40 Medical Park Suite 200 Wheeling WV 26003-6392
Phone: (304) 242-0590
Fax: (304) 242-9740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 14893 West Virginia
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 35054828 Ohio
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 14893 West Virginia
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 35054828 Ohio

Profile Details

NPI number 1518953116
LBN Legal business name Tracy, Charles Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518953116 NPPES
West Virginia MEDICAID 0114127000
West Virginia Other 14893
West Virginia MEDICAID 0859085

Popular Providers